WO2019023459A1 - Dinucléotides cycliques utilisés en tant qu'agents anticancéreux - Google Patents

Dinucléotides cycliques utilisés en tant qu'agents anticancéreux Download PDF

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WO2019023459A1
WO2019023459A1 PCT/US2018/043907 US2018043907W WO2019023459A1 WO 2019023459 A1 WO2019023459 A1 WO 2019023459A1 US 2018043907 W US2018043907 W US 2018043907W WO 2019023459 A1 WO2019023459 A1 WO 2019023459A1
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coor
alkyl
halogen
substituted
taken together
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PCT/US2018/043907
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English (en)
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Brian E. Fink
Dharmpal S. Dodd
Lan-Ying Qin
Zheming Ruan
Yufen Zhao
Lalgudi S. Harikrishnan
Muthoni G. Kamau
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Bristol-Myers Squibb Company
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Priority to EP18752985.4A priority Critical patent/EP3658565B1/fr
Priority to ES18752985T priority patent/ES2932354T3/es
Priority to KR1020207005451A priority patent/KR20200032180A/ko
Priority to JP2020504128A priority patent/JP7186764B2/ja
Priority to CN201880049466.7A priority patent/CN110997691B/zh
Publication of WO2019023459A1 publication Critical patent/WO2019023459A1/fr

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7084Compounds having two nucleosides or nucleotides, e.g. nicotinamide-adenine dinucleotide, flavine-adenine dinucleotide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/02Medicinal preparations containing materials or reaction products thereof with undetermined constitution from inanimate materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • A61P35/02Antineoplastic agents specific for leukemia
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07HSUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
    • C07H19/00Compounds containing a hetero ring sharing one ring hetero atom with a saccharide radical; Nucleosides; Mononucleotides; Anhydro-derivatives thereof
    • C07H19/02Compounds containing a hetero ring sharing one ring hetero atom with a saccharide radical; Nucleosides; Mononucleotides; Anhydro-derivatives thereof sharing nitrogen
    • C07H19/04Heterocyclic radicals containing only nitrogen atoms as ring hetero atom
    • C07H19/14Pyrrolo-pyrimidine radicals
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07HSUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
    • C07H19/00Compounds containing a hetero ring sharing one ring hetero atom with a saccharide radical; Nucleosides; Mononucleotides; Anhydro-derivatives thereof
    • C07H19/02Compounds containing a hetero ring sharing one ring hetero atom with a saccharide radical; Nucleosides; Mononucleotides; Anhydro-derivatives thereof sharing nitrogen
    • C07H19/04Heterocyclic radicals containing only nitrogen atoms as ring hetero atom
    • C07H19/16Purine radicals
    • C07H19/20Purine radicals with the saccharide radical esterified by phosphoric or polyphosphoric acids
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07HSUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
    • C07H19/00Compounds containing a hetero ring sharing one ring hetero atom with a saccharide radical; Nucleosides; Mononucleotides; Anhydro-derivatives thereof
    • C07H19/02Compounds containing a hetero ring sharing one ring hetero atom with a saccharide radical; Nucleosides; Mononucleotides; Anhydro-derivatives thereof sharing nitrogen
    • C07H19/04Heterocyclic radicals containing only nitrogen atoms as ring hetero atom
    • C07H19/16Purine radicals
    • C07H19/20Purine radicals with the saccharide radical esterified by phosphoric or polyphosphoric acids
    • C07H19/207Purine radicals with the saccharide radical esterified by phosphoric or polyphosphoric acids the phosphoric or polyphosphoric acids being esterified by a further hydroxylic compound, e.g. flavine adenine dinucleotide or nicotinamide-adenine dinucleotide
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07HSUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
    • C07H19/00Compounds containing a hetero ring sharing one ring hetero atom with a saccharide radical; Nucleosides; Mononucleotides; Anhydro-derivatives thereof
    • C07H19/02Compounds containing a hetero ring sharing one ring hetero atom with a saccharide radical; Nucleosides; Mononucleotides; Anhydro-derivatives thereof sharing nitrogen
    • C07H19/04Heterocyclic radicals containing only nitrogen atoms as ring hetero atom
    • C07H19/23Heterocyclic radicals containing two or more heterocyclic rings condensed among themselves or condensed with a common carbocyclic ring system, not provided for in groups C07H19/14 - C07H19/22
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07HSUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
    • C07H21/00Compounds containing two or more mononucleotide units having separate phosphate or polyphosphate groups linked by saccharide radicals of nucleoside groups, e.g. nucleic acids
    • C07H21/04Compounds containing two or more mononucleotide units having separate phosphate or polyphosphate groups linked by saccharide radicals of nucleoside groups, e.g. nucleic acids with deoxyribosyl as saccharide radical

Definitions

  • the invention provides novel compounds, pharmaceutical compositions comprising the compounds, and methods of using them, for example, for the treatment prophylaxis of certain cancers and to their use in therapy.
  • Immunotherapy is a rapidly expanding area of medical treatment in which a patient's immune system is deliberately activated, suppressed or otherwise modulated for a positive therapeutic effect.
  • Immunotherapy agents include such things as cells, antigens, antibodies, nucleic acids, proteins, peptides, naturally occurring ligands and synthetically prepared molecules.
  • Cytokines are small glycoprotein molecules known for their role in causing immune response through complex signaling networks. Cytokines have been explored as immunotherapy agents but their direct administration is hampered by many factors including their short half-life in blood which can only be compensated with frequent and often high doses.
  • One highly promising approach is cytokine induction in which the patient is treated with an immunomodulatory agent that triggers the production of one or more therapeutically beneficial cytokines in their body.
  • STING is an intracellular receptor situated on the endoplasmic reticulum.
  • the binding to STING by an agonist activates a signaling pathway culminating in the induction of Type I IFNs, which are secreted and protect the secreting and nearby cells.
  • STING can be activated by two different pathways, each involving a different type of cyclic dinucleotide ("CDN") agonist.
  • CDN cyclic dinucleotide
  • the agonist is an exogenous CDN used by bacterial pathogens as a second messenger (Burdette et al. 2013).
  • cyclic GMP-AMP synthase detects cytosolic DNA and, in response, synthesizes a CDN that functions as an endogenous STING agonist (Ablasser et al. 2013; Gao et al. 2013; Sun et al. 2013).
  • STING Activation of STING results in up-regulation of IRF3 and NF- ⁇ pathways leading to induction of Interferon- ⁇ and other cytokines. STING is crucial for responses to cytosolic DNA of pathogen or host origin.
  • Two exogenous bacterial STING agonist CDNs are 3'3'-cGAMP and c-GMP.
  • the endogenous STING agonist CDN made by cGAS is 2'3'-cGAMP.
  • the bacterial CDNs are characterized by two 3'5' phosphodiester bridges, while the cGAS-produced CDN is characterized by one 2'5' and one 3'5' phosphodiester bridge.
  • the former CDNs are referred to as 3'3' CDNs and the latter as 2'3' CDNs.
  • 3'3' CDNs also are referred to as the "canonical" form and 2'3' CDNs are referred to as the "non-canonical" form.
  • STING activation has also been reported to be beneficial in the treatment of inflammatory diseases and, in an area of particular current interest, cancer.
  • Administration of a synthetic CDN in combination with the cancer vaccine STINGVAX demonstrated enhanced antitumor efficacy in multiple therapeutic models (Fu et al. 2015).
  • Administration of STING agonists alone has been reported to show potent antitumor immune efficacy in a mouse model (Corrales et al. 2015a).
  • the present invention therefore, provides novel cyclic dinucleotides which may be useful for the treatment of cancer.
  • composition comprising a compound of the invention or a pharmaceutically acceptable salt thereof and one or more pharmaceutically acceptable carriers, diluents or excipients.
  • a method of treating cancer which comprises administering to a subject in need thereof a therapeutically effective amount of an activator of STING (of Formula I).
  • X is O or S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH3, halogen, NH 2 or OH;
  • R 3a is H, CH3, halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X is S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are independently
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0)2R al , -NR al S(0)2NR al R al , -S(0)R al , - S(0)NR al R al , -S(0)2R al or S(0)2NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH3, halogen, NH2 or OH;
  • R a is H, CH3, halogen, NH2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is O
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 3 is H, CH3, halogen, NH 2 or OH;
  • R a is H, CH3, halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH3, halogen, NH2 or OH;
  • R a is H, CH 3 , halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH3, halogen, NH 2 or OH;
  • R a is H, CH3, halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X is O or S
  • R 1 and 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0)2R al , -NR al S(0)2NR al R al , -S(0)R al , - S(0)NR al R al , -S(0)2R al or S(0)2NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 ,
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH3, halogen, NH2 or OH;
  • R a is H, CH3, halogen, NH2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0)2R al , -NR al S(0)2NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • Y is CH or N
  • n 0, 1 , 2 or 3;
  • X is O or S
  • R 1 and R 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , -
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 3 is F
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X is O or S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH3, halogen, NH 2 or OH;
  • R 3a is H, CH3, halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X is S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are independently
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0)2R al , -NR al S(0)2NR al R al , -S(0)R al , - S(0)NR al R al , -S(0)2R al or S(0)2NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH3, halogen, NH2 or OH;
  • R a is H, CH3, halogen, NH2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is O
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH3, halogen, NH 2 or OH;
  • R a is H, CH3, halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH3, halogen, NH2 or OH;
  • R a is H, CH3, halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 3 is H, CH3, halogen, NH 2 or OH;
  • R a is H, CH3, halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is O or S
  • R 1 and R 2 are each independently
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -, -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl;
  • R 3 is H, CH 3 , halogen, NH 2 or OH;
  • R a is H, CH 3 , halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is S
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 3 is H, CH3, halogen, NH 2 or OH;
  • R a is H, CH3, halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is O
  • R 1 and R 2 are each independently
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH 3 , halogen, NH 2 or OH
  • R a is H, CH 3 , halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 3 is H, CH3, halogen, NH 2 or OH;
  • R a is H, CH3, halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , S(0) 2 R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 3 is H, CH3, halogen, NH 2 or OH;
  • R a is H, CH 3 , halogen, NH 2 or OH; or
  • R 3 and R a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is O or S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 4 is H, CH3, halogen, NH 2 or OH;
  • R 4a is H, CH3, halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al S(0) 2 R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X is S
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 4 is H, CH3, halogen, NH 2 or OH;
  • R 4a is H, CH3, halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , S(0) 2 R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is O
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)
  • R al is H or C 1-3 alkyl
  • R 4 is H, CH3, halogen, NH2 or OH;
  • R 4a is H, CH 3 , halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 4 is H, CH3, halogen, NH 2 or OH;
  • R 4a is H, CH3, halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0)2R al , -NR al S(0)2NR al R al , -S(0)R al , - S(0)NR al R al , -S(0)2R al or S(0)2NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 ,
  • R al is H or C 1-3 alkyl
  • R 4 is H, CH3, halogen, NH2 or OH;
  • R 4a is H, CH3, halogen, NH2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0)2R al , -NR al S(0)2NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X is O or S
  • R 1 and R 2 are each independently
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 4 is H, CH 3 , halogen, NH 2 or OH;
  • R 4a is H, CH 3 , halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is O or S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 4 is F
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl; Y is CR 5 or N;
  • n 0, 1 , 2 or 3;
  • X is O or S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0)2R al , -NR al S(0)2NR al R al , -S(0)R al , - S(0)NR al R al , -S(0)2R al or S(0)2NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl;
  • R 4 is H, CH 3 , halogen, NH 2 or OH;
  • R 4a is H, CH 3 , halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is S; X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 ,
  • R al is H or C 1-3 alkyl
  • R 4 is H, CH3, halogen, NH 2 or OH;
  • R 4a is H, CH3, halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkgyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)
  • R al is H or C 1-3 alkyl
  • R 4 is H, CH3, halogen, NH2 or OH;
  • R 4a is H, CH 3 , halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 4 is H, CH3, halogen, NH 2 or OH;
  • R 4a is H, CH3, halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 4 is H, CH 3 , halogen, NH 2 or OH;
  • R 4a is H, CH 3 , halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X is O or S
  • R 1 and R 2 are each independently
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 4 is H, CH 3 , halogen, NH 2 or OH;
  • R 4a is H, CH 3 , halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X is S
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b :
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0)2R al , -NR al S(0)2NR al R al , -S(0)R al , - S(0)NR al R al , -S(0)2R al or S(0)2NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 ,
  • R al is H or C 1-3 alkyl
  • R 4 is H, CH3, halogen, NH2 or OH;
  • R 4a is H, CH3, halogen, NH2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0)2R al , -NR al S(0)2NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X is O
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 4 is H, CH 3 , halogen, NH 2 or OH;
  • R 4a is H, CH 3 , halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 4 is H, CH3, halogen, NH 2 or OH;
  • R 4a is H, CH3, halogen, NH 2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , -
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 4 is H, CH3, halogen, NH2 or OH;
  • R 4a is H, CH3, halogen, NH2 or OH; or
  • R 4 and R 4a may be taken together to form a 3-4 membered carbocycle
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0)2R al , -NR al S(0)2NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3;
  • X is O or S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl; Y is CR 5 or N;
  • n 0, 1 , 2 or 3;
  • R 2 is The compound according to formula III wherein
  • X is S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH; R 1 and R 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 9 is H, halogen or methyl
  • X is O
  • X 1 , X 2 , X 3 and X 4 are each independently O
  • R 1 and R 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or C 1-3 alkyl
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR 3 OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR a OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 9 is H, halogen or methyl
  • X 1 , X 2 , X 3 and X 4 are each independently O
  • R 1 and 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 9 is H, halogen or methyl
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is O or S
  • R 1 and R 2 are each independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • R 9 is H, halogen or methyl
  • X is O or S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 ,
  • R al is H or C 1-3 alkyl
  • R 5 is H, halogen, C1-3 alkyl, CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • Y is CR 5 or N
  • n 0, 1, 2 or 3;
  • X is S
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are independently
  • Z 1 is N or CR a ;
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C: 3-6 cycloalkyl substituted with 0-6 R 5 , CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl
  • R 5 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , - S(0) 2 R al or S(0) 2 NR al R al ;
  • R 5a is H or C 1-3 alkyl
  • R 6 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , - OC(0)R al , -OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , - NR al C(0)NR al R al , -NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al or S(0) 2 NR al R al ;
  • R 8 is H, halogen, C1-3 alkyl, CN, N0 2 , OH, OR al , SR al , -C(0)NR al R al , -COOR al , -
  • Y is CR 5 or N
  • n 0, 1 , 2 or 3; or a pharmaceutically acceptable salt, tautomer or stereoisomer thereof.
  • X is O
  • X 1 , X 2 , X 3 and X 4 are each independently O or NH;
  • R 1 and R 2 are independently
  • Z 2 is NR b ;
  • R a is H, halogen, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , CN, NO2, OH, OR al , SR al , -C(0)NR al R al , -COOR al , -OC(0)R al , - OC(0)NR al R al , -NR al R al , -NR al C(0)R al , - NR al COOR al , -NR al C(0)NR al R al , - NR al S(0) 2 R al , -NR al S(0) 2 NR al R al , -S(0)R al , - S(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R b is H, Ci-6 alkyl substituted with 0-6 R 5 , C3-6 cycloalkyl substituted with 0-6 R 5 , -C(0)R al , -C(0)NR al R al , -S(0) 2 R al or S(0) 2 NR al R al ;
  • R al is H or Ci- 3 alkyl

Abstract

La présente invention concerne des composés de formule I, II et III tels représentés ci-dessous (I) (II) (III) dans lesquelles tous les substituants sont définis dans la description, ainsi que des compositions pharmaceutiquement acceptables contenant les composés de l'invention et les dites compositions destinés à être utilisés dans le traitement de divers troubles.
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KR1020207005451A KR20200032180A (ko) 2017-07-28 2018-07-26 항암제로서의 시클릭 디뉴클레오티드
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019160884A1 (fr) * 2018-02-13 2019-08-22 Bristol-Myers Squibb Company Dinucléotides cycliques utilisés en tant qu'agents anticancéreux
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Citations (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004097049A1 (fr) 2003-03-31 2004-11-11 Isis Pharmaceuticals, Inc. Oligoribonucleotides et ribonucleases de clivage d'arn
WO2006029879A2 (fr) 2004-09-17 2006-03-23 F.Hoffmann-La Roche Ag Anticorps anti-ox40l
WO2006105021A2 (fr) 2005-03-25 2006-10-05 Tolerrx, Inc. Molecules de liaison gitr et leurs utilisations
WO2006122150A1 (fr) 2005-05-10 2006-11-16 Incyte Corporation Modulateurs de l'indolamine 2,3-dioxygenase et leurs procedes d'utilisation
WO2007075598A2 (fr) 2005-12-20 2007-07-05 Incyte Corporation N-hydroxyamidinoheterocycles en tant que modulateurs d'indoleamine 2,3-dioxygenase
WO2008036653A2 (fr) 2006-09-19 2008-03-27 Incyte Corporation N-hydroxyamidinohétérocycles modulateurs de l'indoléamine 2,3-dioxygénase
WO2008036642A2 (fr) 2006-09-19 2008-03-27 Incyte Corporation N-hydroxyamidinohétérocycles en tant que modulateurs d'indoléamine 2,3-dioxygénase
WO2008132601A1 (fr) 2007-04-30 2008-11-06 Immutep Anticorps monoclonal anti-lag-3 cytotoxique et son utilisation dans le traitement ou la prévention d'un rejet du greffon d'organe et de maladies auto-immunes
US20080286296A1 (en) * 2005-11-08 2008-11-20 Thomas Ebensen Cyclic-Dinucleotides and Its Conjugates as Adjuvants and Their Uses in Pharmaceutical Compositions
WO2009009116A2 (fr) 2007-07-12 2009-01-15 Tolerx, Inc. Thérapies combinées utilisant des molécules de liaison au gitr
WO2009044273A2 (fr) 2007-10-05 2009-04-09 Immutep Utilisation d'une protéine lag-3 recombinée ou de dérivés de celle-ci pour produire une réponse immunitaire des monocytes
WO2009073620A2 (fr) 2007-11-30 2009-06-11 Newlink Genetics Inhibiteurs de l'ido
WO2010019570A2 (fr) 2008-08-11 2010-02-18 Medarex, Inc. Anticorps humains qui se lient au gène 3 d'activation des lymphocytes (lag-3), et leurs utilisations
US7709458B2 (en) * 2004-03-15 2010-05-04 David K. R. Karaolis Method for inhibiting cancer cell proliferation or increasing cancer cell apoptosis
WO2011028683A1 (fr) 2009-09-03 2011-03-10 Schering Corporation Anticorps anti-gitr
WO2011056652A1 (fr) 2009-10-28 2011-05-12 Newlink Genetics Dérivés imidazole comme inhibiteurs de l'ido
WO2011070024A1 (fr) 2009-12-10 2011-06-16 F. Hoffmann-La Roche Ag Anticorps se liant de façon préférentielle au domaine extracellulaire 4 de csf1r humain et leur utilisation
WO2011109400A2 (fr) 2010-03-04 2011-09-09 Macrogenics,Inc. Anticorps réagissant avec b7-h3, fragments immunologiquement actifs associés et utilisations associées
WO2011107553A1 (fr) 2010-03-05 2011-09-09 F. Hoffmann-La Roche Ag Anticorps dirigés contre le csf-1r humain et utilisations associées
WO2011131407A1 (fr) 2010-03-05 2011-10-27 F. Hoffmann-La Roche Ag Anticorps contre le csf-1r humain et leurs utilisations
WO2011140249A2 (fr) 2010-05-04 2011-11-10 Five Prime Therapeutics, Inc. Anticorps liant csf1r
WO2012032433A1 (fr) 2010-09-09 2012-03-15 Pfizer Inc. Molécules de liaison 4-1bb
WO2012142237A1 (fr) 2011-04-15 2012-10-18 Newlink Geneticks Corporation Dérivés d'imidazole fusionnés pouvant être employés en tant qu'inhibiteurs d'ido
WO2012145493A1 (fr) 2011-04-20 2012-10-26 Amplimmune, Inc. Anticorps et autres molécules qui se lient à b7-h1 et à pd-1
WO2013087699A1 (fr) 2011-12-15 2013-06-20 F. Hoffmann-La Roche Ag Anticorps contre le csf-1r humain et leurs utilisations
WO2013119716A1 (fr) 2012-02-06 2013-08-15 Genentech, Inc. Compositions et procédés d'utilisation d'inhibiteurs de csf1r
WO2013132044A1 (fr) 2012-03-08 2013-09-12 F. Hoffmann-La Roche Ag Thérapie combinée d'anticorps contre le csf -1r humain et ses utilisations
WO2013169264A1 (fr) 2012-05-11 2013-11-14 Five Prime Therapeutics, Inc. Méthodes destinées à traiter des affections avec des anticorps qui se lient au récepteur du facteur 1 de stimulation des colonies (csf1r)
WO2013181634A2 (fr) 2012-05-31 2013-12-05 Sorrento Therapeutics Inc. Protéines liant un antigène qui lient pd-l1
WO2014008218A1 (fr) 2012-07-02 2014-01-09 Bristol-Myers Squibb Company Optimisation d'anticorps se liant à la protéine lag-3 exprimée par le gène 3 d'activation des lymphocytes, et leurs utilisations
WO2014036357A1 (fr) 2012-08-31 2014-03-06 Five Prime Therapeutics, Inc. Méthodes de traitement de pathologies par des anticorps qui se lient au récepteur du facteur stimulant les colonies 1 (csf1r)
WO2014179664A2 (fr) 2013-05-02 2014-11-06 Anaptysbio, Inc. Anticorps dirigés contre la protéine de mort programmée 1 (pd-1)
WO2014189805A1 (fr) * 2013-05-18 2014-11-27 Auro Biotech, Inc. Compositions et procédés d'activation de la signalisation dépendante de « stimulateur de gènes d'interféron »
WO2014194302A2 (fr) 2013-05-31 2014-12-04 Sorrento Therapeutics, Inc. Protéines de liaison à l'antigène qui se lient à pd-1
WO2015035606A1 (fr) 2013-09-13 2015-03-19 Beigene, Ltd. Anticorps anti-pd1 et leur utilisation comme produits thérapeutiques et produits de diagnostic
WO2015085847A1 (fr) 2013-12-12 2015-06-18 上海恒瑞医药有限公司 Anticorps anti-pd-1, son fragment de liaison à l'antigène, et son application médicale
WO2015112900A1 (fr) 2014-01-24 2015-07-30 Dana-Farber Cancer Institue, Inc. Molécules d'anticorps anti-pd-1 et leurs utilisations
WO2015112800A1 (fr) 2014-01-23 2015-07-30 Regeneron Pharmaceuticals, Inc. Anticorps humains se liant à pd-1
WO2015185565A1 (fr) * 2014-06-04 2015-12-10 Glaxosmithkline Intellectual Property Development Limited Di-nucléotides cycliques utilisés comme modulateurs de sting
WO2016096174A1 (fr) * 2014-12-16 2016-06-23 Invivogen Dinucléotides cycliques fluorés utilisables en vue de l'induction des cytokines
WO2016149201A2 (fr) 2015-03-13 2016-09-22 Cytomx Therapeutics, Inc. Anticorps anti-pdl1, anticorps anti-pld1 activables, et leurs procédés d'utilisation

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7575764B2 (en) * 2005-10-01 2009-08-18 Elc Management Llc Compositions comprising hypsizygus ulmarius extract

Patent Citations (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004097049A1 (fr) 2003-03-31 2004-11-11 Isis Pharmaceuticals, Inc. Oligoribonucleotides et ribonucleases de clivage d'arn
US7709458B2 (en) * 2004-03-15 2010-05-04 David K. R. Karaolis Method for inhibiting cancer cell proliferation or increasing cancer cell apoptosis
WO2006029879A2 (fr) 2004-09-17 2006-03-23 F.Hoffmann-La Roche Ag Anticorps anti-ox40l
WO2006105021A2 (fr) 2005-03-25 2006-10-05 Tolerrx, Inc. Molecules de liaison gitr et leurs utilisations
WO2006122150A1 (fr) 2005-05-10 2006-11-16 Incyte Corporation Modulateurs de l'indolamine 2,3-dioxygenase et leurs procedes d'utilisation
US20080286296A1 (en) * 2005-11-08 2008-11-20 Thomas Ebensen Cyclic-Dinucleotides and Its Conjugates as Adjuvants and Their Uses in Pharmaceutical Compositions
WO2007075598A2 (fr) 2005-12-20 2007-07-05 Incyte Corporation N-hydroxyamidinoheterocycles en tant que modulateurs d'indoleamine 2,3-dioxygenase
WO2008036653A2 (fr) 2006-09-19 2008-03-27 Incyte Corporation N-hydroxyamidinohétérocycles modulateurs de l'indoléamine 2,3-dioxygénase
WO2008036642A2 (fr) 2006-09-19 2008-03-27 Incyte Corporation N-hydroxyamidinohétérocycles en tant que modulateurs d'indoléamine 2,3-dioxygénase
WO2008132601A1 (fr) 2007-04-30 2008-11-06 Immutep Anticorps monoclonal anti-lag-3 cytotoxique et son utilisation dans le traitement ou la prévention d'un rejet du greffon d'organe et de maladies auto-immunes
WO2009009116A2 (fr) 2007-07-12 2009-01-15 Tolerx, Inc. Thérapies combinées utilisant des molécules de liaison au gitr
WO2009044273A2 (fr) 2007-10-05 2009-04-09 Immutep Utilisation d'une protéine lag-3 recombinée ou de dérivés de celle-ci pour produire une réponse immunitaire des monocytes
WO2009073620A2 (fr) 2007-11-30 2009-06-11 Newlink Genetics Inhibiteurs de l'ido
WO2010019570A2 (fr) 2008-08-11 2010-02-18 Medarex, Inc. Anticorps humains qui se lient au gène 3 d'activation des lymphocytes (lag-3), et leurs utilisations
WO2011028683A1 (fr) 2009-09-03 2011-03-10 Schering Corporation Anticorps anti-gitr
WO2011056652A1 (fr) 2009-10-28 2011-05-12 Newlink Genetics Dérivés imidazole comme inhibiteurs de l'ido
WO2011070024A1 (fr) 2009-12-10 2011-06-16 F. Hoffmann-La Roche Ag Anticorps se liant de façon préférentielle au domaine extracellulaire 4 de csf1r humain et leur utilisation
WO2011109400A2 (fr) 2010-03-04 2011-09-09 Macrogenics,Inc. Anticorps réagissant avec b7-h3, fragments immunologiquement actifs associés et utilisations associées
WO2011107553A1 (fr) 2010-03-05 2011-09-09 F. Hoffmann-La Roche Ag Anticorps dirigés contre le csf-1r humain et utilisations associées
WO2011131407A1 (fr) 2010-03-05 2011-10-27 F. Hoffmann-La Roche Ag Anticorps contre le csf-1r humain et leurs utilisations
WO2011140249A2 (fr) 2010-05-04 2011-11-10 Five Prime Therapeutics, Inc. Anticorps liant csf1r
WO2012032433A1 (fr) 2010-09-09 2012-03-15 Pfizer Inc. Molécules de liaison 4-1bb
WO2012142237A1 (fr) 2011-04-15 2012-10-18 Newlink Geneticks Corporation Dérivés d'imidazole fusionnés pouvant être employés en tant qu'inhibiteurs d'ido
WO2012145493A1 (fr) 2011-04-20 2012-10-26 Amplimmune, Inc. Anticorps et autres molécules qui se lient à b7-h1 et à pd-1
WO2013087699A1 (fr) 2011-12-15 2013-06-20 F. Hoffmann-La Roche Ag Anticorps contre le csf-1r humain et leurs utilisations
WO2013119716A1 (fr) 2012-02-06 2013-08-15 Genentech, Inc. Compositions et procédés d'utilisation d'inhibiteurs de csf1r
WO2013132044A1 (fr) 2012-03-08 2013-09-12 F. Hoffmann-La Roche Ag Thérapie combinée d'anticorps contre le csf -1r humain et ses utilisations
WO2013169264A1 (fr) 2012-05-11 2013-11-14 Five Prime Therapeutics, Inc. Méthodes destinées à traiter des affections avec des anticorps qui se lient au récepteur du facteur 1 de stimulation des colonies (csf1r)
WO2013181634A2 (fr) 2012-05-31 2013-12-05 Sorrento Therapeutics Inc. Protéines liant un antigène qui lient pd-l1
WO2014008218A1 (fr) 2012-07-02 2014-01-09 Bristol-Myers Squibb Company Optimisation d'anticorps se liant à la protéine lag-3 exprimée par le gène 3 d'activation des lymphocytes, et leurs utilisations
WO2014036357A1 (fr) 2012-08-31 2014-03-06 Five Prime Therapeutics, Inc. Méthodes de traitement de pathologies par des anticorps qui se lient au récepteur du facteur stimulant les colonies 1 (csf1r)
WO2014179664A2 (fr) 2013-05-02 2014-11-06 Anaptysbio, Inc. Anticorps dirigés contre la protéine de mort programmée 1 (pd-1)
WO2014189805A1 (fr) * 2013-05-18 2014-11-27 Auro Biotech, Inc. Compositions et procédés d'activation de la signalisation dépendante de « stimulateur de gènes d'interféron »
WO2014194302A2 (fr) 2013-05-31 2014-12-04 Sorrento Therapeutics, Inc. Protéines de liaison à l'antigène qui se lient à pd-1
WO2015035606A1 (fr) 2013-09-13 2015-03-19 Beigene, Ltd. Anticorps anti-pd1 et leur utilisation comme produits thérapeutiques et produits de diagnostic
WO2015085847A1 (fr) 2013-12-12 2015-06-18 上海恒瑞医药有限公司 Anticorps anti-pd-1, son fragment de liaison à l'antigène, et son application médicale
WO2015112800A1 (fr) 2014-01-23 2015-07-30 Regeneron Pharmaceuticals, Inc. Anticorps humains se liant à pd-1
WO2015112900A1 (fr) 2014-01-24 2015-07-30 Dana-Farber Cancer Institue, Inc. Molécules d'anticorps anti-pd-1 et leurs utilisations
WO2015185565A1 (fr) * 2014-06-04 2015-12-10 Glaxosmithkline Intellectual Property Development Limited Di-nucléotides cycliques utilisés comme modulateurs de sting
WO2016096174A1 (fr) * 2014-12-16 2016-06-23 Invivogen Dinucléotides cycliques fluorés utilisables en vue de l'induction des cytokines
WO2016149201A2 (fr) 2015-03-13 2016-09-22 Cytomx Therapeutics, Inc. Anticorps anti-pdl1, anticorps anti-pld1 activables, et leurs procédés d'utilisation

Non-Patent Citations (15)

* Cited by examiner, † Cited by third party
Title
"Design of Prod rugs", 1985, ELSEVIER
"Medicinal Chemistry: Principles and Practice", 2006, THE ROYAL SOCIETY OF CHEMISTRY
"Methods in Enzymology", vol. 112, 1985, ACADEMIC PRESS, pages: 309 - 396
"Prodrugs and Targeted Delivery (Methods and Principles in Medicinal Chemistry)", vol. 47, 2011, WILEY-VCH
"Remington: The Science and Practice of Pharmacy", 2012, PHARMACEUTICAL PRESS
"The Peptides: Analysis, Synthesis, Biology", vol. 3, 1981, ACADEMIC PRESS
"The Practice of Medicinal Chemistry", 2008, ACADEMIC PRESS
BUNDGAARD, H. ET AL., J. PHARM. SCI., vol. 77, 1988, pages 285
BUNDGAARD, H. ET AL.: "A Textbook of Drug Design and Development", 1991, HARWOOD ACADEMIC PUBLISHERS, article "Design and Application of Prodrugs", pages: 113 - 191
BUNDGAARD, H., ADV. DRUG DELIV. REV., vol. 8, 1992, pages 1 - 38
GREENE; WUTS: "Protective Groups In Organic Synthesis", 2007, WILEY AND SONS
JOURNAL OF ORGANIC CHEMISTRY, vol. 65, no. 22, 2000, pages 7697 - 7699
KAKEYA, N. ET AL., CHEM. PHARM. BULL., vol. 32, 1984, pages 692
TESTA, B. ET AL.: "Hydrolysis in Drug and Prodrug Metabolism. Chemistry, Biochemistry and Enzymology", 2003, VCHA AND WILEY-VCH
WUTS, P. G. M.; GREENE, T.W.: "Protecting Groups in Organic Synthesis", 2007, WILEY

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11203610B2 (en) 2017-12-20 2021-12-21 Institute Of Organic Chemistry And Biochemistry Ascr, V.V.I. 2′3′ cyclic dinucleotides with phosphonate bond activating the sting adaptor protein
US10966999B2 (en) 2017-12-20 2021-04-06 Institute Of Organic Chemistry And Biochemistry Ascr, V.V.I. 3′3′ cyclic dinucleotides with phosphonate bond activating the sting adaptor protein
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US11339185B2 (en) 2018-02-13 2022-05-24 Bristol-Myers Squibb Company Cyclic dinucleotides as anticancer agents
WO2019160884A1 (fr) * 2018-02-13 2019-08-22 Bristol-Myers Squibb Company Dinucléotides cycliques utilisés en tant qu'agents anticancéreux
US11292812B2 (en) 2018-04-06 2022-04-05 Institute Of Organic Chemistry And Biochemistry Ascr, V.V.I. 3′3′-cyclic dinucleotides
US11149052B2 (en) 2018-04-06 2021-10-19 Institute Of Organic Chemistry And Biochemistry Ascr, V.V.I. 2′3′-cyclic dinucleotides
WO2019200273A1 (fr) * 2018-04-13 2019-10-17 Bristol-Myers Squibb Company Nouveaux réactifs à base de phosphore (v), leurs procédés de préparation et leur utilisation dans la fabrication de composés organophoshoreux (v) stéréodéfinis
JP7434171B2 (ja) 2018-04-13 2024-02-20 ブリストル-マイヤーズ スクイブ カンパニー 新規リン(v)系試薬、その製造方法、および立体選択的有機リン酸(v)化合物の製造における使用
US11613554B2 (en) 2018-04-13 2023-03-28 Bristol-Myers Squibb Company Phosphorous (V)-based reagents, processes for the preparation thereof, and their use in making stereo-defined organophoshorous (V) compounds
JP2021521197A (ja) * 2018-04-13 2021-08-26 ブリストル−マイヤーズ スクイブ カンパニーBristol−Myers Squibb Company 新規リン(v)系試薬、その製造方法、および立体選択的有機リン酸(v)化合物の製造における使用
US11110106B2 (en) 2018-10-29 2021-09-07 Venenum Biodesign, LLC Sting agonists for treating bladder cancer and solid tumors
US11161864B2 (en) 2018-10-29 2021-11-02 Venenum Biodesign, LLC Sting agonists
US11883420B2 (en) 2018-10-29 2024-01-30 Venenum Biodesign, LLC Sting agonists for treating bladder cancer and solid tumors
WO2020212301A1 (fr) * 2019-04-16 2020-10-22 Roche Innovation Center Copenhagen A/S Nouveau procédé de préparation de monomères p(v) nucléotidiques
WO2020227421A1 (fr) 2019-05-09 2020-11-12 Aligos Therapeutics, Inc. Composés di-nucléosidiques cycliques modifiés servant de modulateurs sting
EP3966222A4 (fr) * 2019-05-09 2023-10-04 Aligos Therapeutics, Inc. Composés di-nucléosidiques cycliques modifiés servant de modulateurs sting
CN110684062A (zh) * 2019-10-18 2020-01-14 大连大学 一种治疗非小细胞肺癌的药物及其制备方法
WO2021206158A1 (fr) 2020-04-10 2021-10-14 小野薬品工業株式会社 Méthode de cancérothérapie

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